NATHAN CLARKE – Physical Therapist, NPI 1043920218

NATHAN CLARKE is a healthcare provider. based in Wilmington, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 26573 (MA). The NPI Number for NATHAN CLARKE is 1043920218

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN CLARKE
NPI
1043920218
Phone
Not provided
Address
64J CONCORD ST
Enumeration Date
29 November 2022
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819357701
Graduation Year
2022 (4 years ago)
PAC ID
6608246202
Group Practice PAC ID
2163785221
Professional Enrollment ID
I20221222001626
Address ID
MA018016351WO800XXPARK401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for NATHAN CLARKE

  • 64J CONCORD ST

    WILMINGTON, MA 018872179

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221222001626IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01887)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163785221View full group profile
NameSpecialtyState
-MA
Physical Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

How is NATHAN CLARKE identified in CMS data?
CMS-hosted NPPES data lists NATHAN CLARKE with NPI 1043920218.
Is NATHAN CLARKE listed as active for patients and plans?
The listing shows NATHAN CLARKE as active in the NPI system.
What is NATHAN CLARKE best known for clinically?
Directory data describes NATHAN CLARKE with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does NATHAN CLARKE serve?
NATHAN CLARKE's listing highlights Wilmington, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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